Breast Feeding Versus Bottle Feeding - 886 Words

Breast Feeding Versus Bottle Feeding There are many different myths and opinions about breast-feeding and how it is beneficial for a child, some women and even men choose to view the breast as a sexual object, although in reality it is meant for the purpose of nourishing an infant. As for the other half of women around the world, many believe breast-feeding is the most natural way to feed a child as they receive the vitamins and minerals a youngster needs to grow up strong. Breast-Feeding and Bottle feeding both have their pros and cons just as in any situation, but which one has the greater advantage? When a child is born, the very first breathe of life can be infectious due to all of the diseases around us. For an infant, the immune system may be functioning, but is not as strong as the father’s or mothers. Human Milk is known as being species-specific, and is uniquely superior for the feeding of an infant. For the child’s health, breast milk does a lot more than just helping with basic nutrition. Breath milk is very high in fat and contains all the vitamins and nutrients a baby will need during the first 6 months of life, is it also packed with disease-fighting antibodies transported from the mother who will protect an infant from diseases and illnesses they are constantly exposed to during daily life. Certain diseases such as stomach versus, lower respiratory illnesses, ear infections and even meningitis occur less often to a breast fed baby then a formula fed baby.Show MoreRelatedBreast Feeding versus Bottle Feeding562 Words   |  2 Pagesrelevant facts. Feeding a baby could be done either as breast feeding or bottle feeding. Breast feeding is the feeding of a baby directly from the breast milk of a female human breast whereas bottle feeding is referred to as feeding a baby with milk from a nursing bottle. Many people argue that breast feeding is the most beneficial way of feeding a baby. In contrast to this view, others argue that there is not any real significant difference between breast feeding and bottle feeding. Therefore, inRead MoreGuidelines Of Guidelines Regarding Milk Banks Essay1403 Words   |  6 Pagesbenefits of providing a time and place to express milk. There is information available from La Leche League that can be given to the employer. There are supporting programs also, like (WIC) Woman Infant and child program is for both breast feeding moms and bottle feeding moms. According to WIC is a federal program designed to provide food to low-income pregnant, postpartum and breastfeeding women, infants and children until the age of five. The program provides a combination of nutrition educationRead MoreBreast Feeding vs Bottle Feeding2073 Words   |  9 PagesBreastfeeding versus Formula Feeding Your family is expecting a newborn baby within the next couple of months. This event in someone’s life will change their lives forever and can be a very exciting and exhausting change. Although you may be excited and impatient for the baby’s arrival, this event can cause a lot of stress on the family. While your lives are completely changing; there are things you need to do to prepare yourself and there are many important decisions that need to be made. DecisionsRead MoreEarly Childhood Development: Breastfeeding and Child Milestones632 Words   |  3 Pagesone of the many new questions she will have is should I breast feed or bottle-feed my new son or daughter? As a future health care provider it is very important that we can properly educate the mother on the best choice for her health as well as the baby’s. While bottle-feeding may be the easiest and quickest way to feed a newborn, it’s hardly the most nutritional option. The CDC (center for dieses control) released a statement saying, â€Å"Breast milk is widely acknowledged as the most complete formRead MoreBaby Rohan Jameson Ramjit Is Growing Healthy As Ever1399 Words   |  6 PagesDuring these past 7 months, I have gained so much love for someone I have never met before. Being 24 years old and becoming a mother has changed my views on life. Learning so much about caring for a newborn has brought on the thought of bottle feeding or breast feeding and trying to figure out which one is safer for his health. Children enter this world helpless, trying to understand their new environment and learning their new touch. Infants depend on the caring individuals around them, especiallyRead MoreThe Health Organization And The American Academy Of Pediatrics Recommend Exclusive Breastfeeding1531 Words   |  7 Pagesbiologically built to make a unique substance to ensure the survival of its offspring, natural milk. The properties found in this one of a kin d food provide all the infant needs in the required amount. That being said, babies are born to be breastfed. Breast milk is the most natural and necessary food for infants. The World Health Organization and the American Academy of Pediatrics recommend exclusive breastfeeding for the first six months of life. When faced with the decision of whether or not to breastfeedRead MoreBreast Feeding And Bottle Feeding2724 Words   |  11 Pages Breast Feeding and Bottle Feeding in Relation to Nursing Practice By Stephen Samson 201201274 Presented to Dr. Judith Cormier Nursing 355:10 Perinatal Nursing Department of Nursing St. Francis Xavier University October 7, 2014 Abstract Research has shown that nursing implications have an impact on breast-feeding and bottle-feeding; the main three aspects that allow nurses to have an impact are teaching, collaboration, and support. Under these three sections there willRead More Benefits of Breastfeeding Essay669 Words   |  3 Pagesbaby. Breast milk works as an all in one nutritional supplement.  Ã‚  Ã‚  Ã‚  Ã‚   Breast milk works as a thirst quencher, medication, food supplement and for the mother it works as a weight loss program with no equal. Although, there are formulas that can be used for replacing breast milk, they do not have the same supplements as the natural milk from the mother. The American Academy of Pediatrics â€Å"†¦recommends that babies be breast-fed for six to 12 months. The only acceptable alternative to breast milk isRead MoreHealth Professionals Attitudes Towards The Promotion Of Breastfeeding1679 Words   |  7 Pageswhether or not the health professional’s opinion on breastfeeding matters to the new mother. Breastfeeding is the feeding of babies or young children with milk from a female breast. The international breastfeeding journal recognizes breastfeeding as a very important public health issue with gigantic social and economic implications. The journal also reports that infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants and that mothers who do not breastfeedRead MoreInfant Formul Just As Healthy1873 Words   |  8 Pagesyou should feed your newborn? Breast milk or infant formula? Or have you ever considered why so many mothers prefer to breastfeed versus bottled formula? If so, you may find your answers to your questions here. What is breast milk you say? Breast milk is simply defined as the milk produced from the breast of a female that is intended for newborn babies. You ask what is infant formula? Infant formula is considered to be a manufactured food designed and marketed for feeding babies and infants usually

Issues in Divorce Essay - 2330 Words

During the Medieval times, when the Catholic Church was as influential as it has ever been, marriages very rarely ended up in divorce. There were many married couples who would end up separated and live apart, but due to the rules of many religions, very few actually went through and became divorced. In present times, things are very different. Divorce rates have continued to climb through the centuries as religion has had less of a pull on people’s lives. More and more couples have entered into marriages that simply could not last for the long-term. This can be due to many different factors, including more relaxed divorce laws, women having more of a say in family matters than they did in the past, and changes in society’s acceptance†¦show more content†¦These numbers are very different from what they would have looked like only a hundred years ago. One thing that has not changed though is that religions continue to treat divorce very different from one another. The majority of Christian denominations treat divorce in a mostly negative manner, though many of them differ in the actual way they treat it. The Roman Catholic Church will not allow a married couple to become divorced and also will not allow anyone who was previously in a marriage that ended in divorce to remarry (Lehmkuhl, 1909). This is because the Catholic Church considers all consummated marriages to be a life-long union that cannot be broken. It also allows for marriages to become annulled as long as the couple has not yet consummated their marriage (Lehmkuhl, 1909). Other Christian Churches such as the Eastern Orthodox Church are more lenient towards couples seeking a divorce than the Catholic Church in that it will allow couples to get a divorce and also permits people to remarry after already having been divorced (â€Å"Marriage In The†, 2010). Similarly, most Protestant Churches will also allow divorces as well as remarriage after divorce (â€Å"Comp arison Table Between†, 2010). Despite this, these Churches still do not have a very positive view towards divorce and certainly prefer for it not to happen. Religions other than Christianity also have differing views on divorce. Judaism is much more accepting of divorce than most Christian ChurchesShow MoreRelatedThe Issue Of Divorce And Divorce Essay1672 Words   |  7 PagesIt is common gossip that half of marriages end in divorce. But this gossip is more true than most would assume. One in every one hundred marriages in North Carolina as well as a genuine half of marriages across the United States end in divorce and, according to Jennifer Lansford, â€Å"50% of American children will experience their parents’ divorce† (140). This rate of separation is essentially a heads-or-tails on marriages to determine whether or not they will work out and if a child will be affectedRead MoreThe Issue Of Divorce And Remarriage1081 Words   |  5 Pagesthe dilemma of div orce and remarriage. Divorce rates have skyrocketed in recent years and Canadian statistics indicate that four out of ten marriages will end in divorce. So there is a good possibility that there are some people sitting in church today that have been affected by divorce and remarriage. You may be recently divorced and considering remarriage or you may, in fact, have already remarried. You may be presently in a relationship with someone who has gone through a divorce and you may beRead MoreDivorce Is A Rising Issue929 Words   |  4 PagesDivorce is a rising issue in the U.S. Many of us think of divorce as a taboo topic. Something that should not be spoken of or feel comfortable with. In fact, some may act out of character when they hear anything related with divorce. It really is not a thing to talk about because of its negativity and is not really brought up in a social setting because of the bad atmosphere it gives off. Although we might say divorce is a terrible thing, we should take into consideration how we can possible helpRead MoreThe Issue Of Marriage And Divorce1490 Words   |  6 Pages Marriage and divorce has always been a tricky subject for many couples, the fear of rejection, starting a family or hurting their other counterpart can come to play in many situations throughout their relationship. Traditionally marriages were known to be a sacred bond between two individuals. This bond can be between two heterosexuals or two individuals of the same sex. On May 17th, 2004 Massachusetts became the first state to allow all same-sex marriages (Dinno 2013). In Canada same-sex marriagesRead MoreDivorce Is A Social Issue1774 Words   |  8 Pagesfamily with divorced parents, before divorce was seen as unacceptable and a disgrace to the family, but in today’s society, it is more acceptable, and common. Divorce does not just affect the two married people, but it also affects any children they may have. To fully understand how divorce affects children , one must the history of divorce, the changes in the child’s or children’s life, and the effects those changes may bring. Divorce is a rising social issue in the United States of America, butRead MoreDivorce : A Legal Issue982 Words   |  4 PagesDivorce legalize a state of discord between the couple, it leads to a release of the climate of dispute and creates new domestic structures of coexistence between parents and children. Recovering from a divorce is a separate process, not only for each individual but also for each sex. Women are twice as likely to initiate divorce because they are more likely to recognize problems in the marriage. Most divorcing couples expect to go through a difficult adjustment period immediately after the marriageRead MoreDivorce : A Major Sociological Issue1080 Words   |  5 PagesRebecca Eron Mrs. Small Social Issue paper 21 November 2014 Divorce Problem Statement: Divorce is a major sociological issue. Divorce rates continue to rise annually and more and more the definition of ‘family’ begins to change. Around 40% of marriages ended in divorce in 2004 (West). This is an epidemic that at one point shocked many People. While, divorce use to be socially and for many, religiously unacceptable it is becoming more and more a social norm. Even though it is becoming more commonRead MoreDivorce Is A Huge Issue Of Concern1622 Words   |  7 PagesDivorce is a huge issue of concern in the UK as in the rate in which couples divorce is rapidly increasing . More than half of the couples in the UK had at least one child aged under 16 in 2007.The number of divorces in England and wales have increased to a total of 118,140 divorces in 2012, which is an increase of 0.5 percent since 2011.Statistics showed that women were allowed 65 percent of all divorces , 9,703 men and 6,026 women aged over 60 got divorced. It has also shown that 42 percent of Read MoreDivorce Issues Essay examples1567 Words   |  7 PagesDivorce Issues Divorce is an epidemic that draws no boundaries between any particular race, ethnicity, or class. Although there is no group exempt from the possibility and reality of divorce, there are certain noticeable trends among specific groups and classifications of people whom are directly affected by divorced. Statistics show that twenty-five percent of all married couplesRead MoreEthical Issues Of Divorce Mediation1858 Words   |  8 PagesI chose Ethical issues/concerns in divorce mediation and how to deal with them because ethics these days seem to vary depending on religious beliefs, upbringing, or even the possibility that someone never had any to begin with. Divorce can already be an emotional rollercoaster for the parties, when there is a question of ethic this could add to the tough decisions that need to be made. Some who is becoming or is a Mediator needs to have strong ethical judgements because there are times that as a

How Does a Family Work as a System in Promoting Health to Its Memebers Free Essays

Maslow’s Hierarchy of Needs Maslow’s theory is grounded on satisfying needs in order of: 1) physiological needs (lunch breaks, wages, etc), 2) safety needs (medical insurance, job security, etc), 3) social needs (sense of community, social events, etc), 4) esteem needs (recognize achievement, show appreciation, etc), and 5) self actualization (provide challenges, opportunity to reach potential, etc). According to Maslow, a person starts with meeting physiological needs and must work up to self-actualization. An important limitation to note is that â€Å"there is evidence that contradicts the order of needs specified by the model. We will write a custom essay sample on How Does a Family Work as a System in Promoting Health to Its Memebers or any similar topic only for you Order Now Furthermore, â€Å"some cultures appear to place social needs before any others† (Netmba 3). The most important implication for management in Maslow’s theory is the manager’s ability to recognize the needs level at which the employee is operating in order to motivate. For example, if a group or individual is operating on the basic needs of physiological and safety, a good levering tool for motivation would be to offer an office party once a goal is met. Theories 3 Herzberg’s Two Factor Theory Herzberg’s Two Factor Theory is a â€Å"content theory† similar to Maslow’s Hierarchy Theory. Herzberg suggested a two-step approach to understanding employee motivation and satisfaction including hygiene factors and motivator factors. Hygiene factors ensure that an employee does not become dissatisfied. These include, but are not limited to, wages and salaries, policy and administration, quality of supervision and inter-personal relations, working conditions, and job security. â€Å"Meeting hygiene factors does not lead to high levels of motivation† (Value Based Management 1). Motivation factors lead to psychological growth and job satisfaction. These include, but are not limited to, status, advancement opportunity, gaining recognition, responsibility, stimulating work, and the sense of personal growth and achievement in a job. Motivation factors must be present to motivate an employee into higher performance. Management should â€Å"focus on rearranging work so that motivator factors can take effect† (Cuthers, 2). He said this could be done through job enlargement, job rotation, and/or job enrichment. For example, in a low hygiene-high motivation situation, workers are challenged but salaries and work conditions are not up to standards. By adding some hygiene factors, such as a slight increase in wages and a cleaner, safer working environment, management would be motivated and have fewer complaints. Theories 5 McClellan’s Need Theory David McClellan proposed that an individual’s needs are specific and acquired over time and life experience. Most of these needs can be classified as achievement, affiliation, or power. â€Å"A person’s motivation and effectiveness in certain job functions are influenced by these three needs† (Peace 2). People who measure a high need for achievement are less likely to take risks because they seek to excel. They prefer work with a fair probability of success and need regular feedback to monitor their progress. Affiliation seekers value pleasant relationships with others and have a high need for acceptance. They prefer jobs with a lot of personal interaction and tend to conform to their work group. Employees who have a high need for power fall into two categories – personal power seekers and institutional power seekers. Those who want personal power tend to direct others. Those who prefer institutional power â€Å"want to organize the efforts of others to further the goal of the organization† (Peace 3). McClelland’s theory allows for the shaping of a person’s needs and management should learn to recognize different profiles. For example, a person with a high need for personal power will probably fail in a position that is associated with a high need for affiliation. Theories 6 McGregor’s Theory X and Theory Y Douglas McGregor proposed two theories founded on the premise that the â€Å"management’s role is to assemble the factors of production, including people, for the economic benefit of the firm† (Netmba 1). Both Theory X and Theory Y attempt to explain employee motivation. Theory X assumes that people work only for money and security. They dislike work, have no ambition, resist change, and do not care about organizational goals because they are self-centered. Management approaches under Theory X range from a hard approach (essentially an environment of command and control) to a soft approach (hoping that employees will cooperate). Both approaches, McGregor later reveals, are inappropriate because Theory X is incorrect because it relies on lower needs as levers of motivation. Theory Y is based on esteem and self-actualization. These higher-level needs are never fully met and are great tools for motivation. Under Theory Y, people are self-directed and committed to objectives, and they will seek responsibility through creativity and ingenuity. â€Å"Here lies the opportunity to align personal and organizational goals by using the employee’s own quest for fulfillment as the motivator† (Netmba 2). McGregor acknowledges that not all employees are mature enough to function at the Theory Y level and might need more elements of Theory X management until further developed. Theories 7 Expectancy Theory The Expectancy Theory by Vroom is a perception-based theory about the associations people make toward expected outcomes. In addition to the internal needs of employees and their efforts to fulfill them, Vroom classifies effort into three categories of effort (arising from motivation), performance, and outcomes that must all be linked. Within these categories are three variables: Valence, Expectancy, and Instrumentality. According to Arrod, expectancy is the belief that increased effort will lead to increased performance. In order to excel here, the employee must have the right resources, skills, and support. Instrumentality is the belief that if you perform well, a valued outcome will be received. This requires clear understanding between performance and outcome, trust in those who decide the outcome, and transparency of the process that decides who gets what outcome. Valence is the importance an individual places on the expected outcome. Vroom stresses that all three variables are essential for positive motivation. â€Å"The idea is that the individual then changes their level of effort according to the value they place on the outcomes they receive from the process and on their perception of the strength of the links between effort and outcome† (Arrod 2). Basically, an individual needs to know – 1) if I work harder, this will be better, 2) if I do a good job, there is something in it for me, and 3) Is it worth it. For example, offering benefits of additional time off to an individual may not be worthwhile if he was expecting an outcome of a bonus for his performance. Theories 8 Skinner’s Reinforcement Theory Reinforcement theory is grounded on the shaping of behavior through controlling consequences. Any behavior that brings about a consequence is termed an operant behavior. An operant behavior is learned through associated consequences that can include positive and negative reinforcement and punishment. In order to be effective, reinforcement needs to be continuous or intermittent. Positive reinforcement results in the repeating of a desired behavior. For instance, Sally works in collections for an auto-finance company. She is expected to make a minimum of 300 phone calls daily. The company provides incentive (a 5% commission) on every additional 25 phone calls per day where money is collected. This motivates her to make more productive use of her time by rewarding her on a continuous basis (every paycheck may include commission). Negative reinforcement results when an undesirable consequence is withheld, with the effect of strengthening the probability of the behavior being repeated. For example, John is working hard to increase sales in his territory of Highland Park, which is followed by a decision not to reassign him to an undesirable sales route of Oak Cliff. He is likely to continue exerting the efforts necessary to stay in the area in which he is most productive. Punishment, often confused with negative reinforcement, attempts to decrease the probability that a particular behavior will be learned and repeated (Barnett 2). It is a common reinforcement tool, but experts agree that it should only be used if positive and negative reinforcement are not effective. Theories 9 References Arrod. Co. UK. (2006). Expectancy Theory of Motivation. Retrieved 9/15/08 from http://www. arrod. co. uk/archive/concept_vroom. php Barnett, Tim. (2004). Reinforcement Theory. Retrieved 9/15/08 from http://www. referenceforbusiness. com/management Cuthers, Joshua. (2006). Motivation in Theory – Herzberg Two Factor Theory. Retrieved 9/15/08 from https://tutor2u. net/business/people/motivation_theory_herzberg. asp NetMBA. (2007). Theory X and Theory Y. Retrieved from http://www. netmba. com/mgmt/ob/motivation/mcgregor Peace, A. (2008). McClellan’s Theory of Needs. Retrieved from http://motivationcentre. blogspot. com Value Based Management. (2008). Motivation Factors. Retrieved 9/15/08 from http://www. valuebasedmanagement. net/methods back. Plagiarism Warning The essay examples on Anti Essays are for research purposes ONLY. Do NOT submit an essay example as your own. If you use any information from a sample essay, please cite it. MLA and APA citations can be found at the bottom of this free essay. Citations MLA Citation â€Å"Theories Of Management†. Anti Essays. 30 Nov. 2011 http://www. antiessays. com/free-essays/20897. html APA Citation Theories Of Management. Anti Essays. Retrieved November 30, 2011, from the World Wide Web: http://www. antiessays. com/free-essays/20897. html Related Essays Role Of Manager Creating Value Corperate†¦ Hrm Vs Personnel Management Theory Of Management Rights Frederick Taylor: Hero Or†¦ Fayol’s Management Theory Organizational Behavior†¦ The Role Of a Manager Classical And Neo†¦ How to cite How Does a Family Work as a System in Promoting Health to Its Memebers, Essays

Signs Of Stress Essay Example For Students

Signs Of Stress Essay In researching stress, one would learn about what stress is, the early warning signs of stress, the different types of stress, and how to build resistance to it. Stress is a combination of physical, mental, and emotional feelings that result from pressure, worry, and anxiety. The pressures from stress are called stressors. Some examples of common stressors are: divorce, death in the family, job change, pregnancy, a large mortgage, marriage, and retirement. In medicine, stress is, a physical, chemical, or emotional development that causes strains that can lead to physical illness. (Microsoft Encarta)Some of the most common symptoms of stress are emotional distress, muscular problems, and stomach problems. Emotional distress includes anger, irritability, and anxiety. Muscular problems such as tension headaches, upper and lower back pain, and jaw pain (TMJ), are symptoms of stress. Muscular tensions that lead to pulled muscles and tendon and ligament problems, are symptoms of stress as well. Other symptoms of stress are stomach, gut and bowel problems. Heartburn, acid stomach, ulcers, flatulence, diarrhea, constipation, and irritable bowel syndrome are examples of these problems. Symptoms like cold hands or feet, shortness of breath, and chest pain are also common. The early warning signs of stress include apathy, anxiety, irritability, mental fatigue, and overcompensation or denial. What is stressful for one person, may or may not be stressful for another; each person responds to stress in a different way. A person can plan their life so that stress doesnt overwhelm them. Managed stress makes people productive and happy. There are four types of stress. There is acute stress, episodic acute stress, chronic stress, and traumatic stress. Each type of stress has its own characteristics, symptoms, duration, and treatments. Acute stress is the common type of stress. Acute stress is exciting and thrilling in small amount, but too much is exhausting. Overdoing it on acute stress can lead to psychological distress, tension headaches, upset stomach, and other symptoms. Some examples of stressors that can cause acute stress are: an auto accident that crumpled the car fender; a childs occasional problems at school; and so on. Acute stress doesnt have enough time to do extensive damage that is associated with long-term stress. Episodic Acute stress is what people who suffer from acute stress frequently have. These peoples lives are so disorderly that they are constantly in a state of chaos and crisis. There are always in a hurry, but they are always late. Another form of episodic acute stress comes from no-stop worry. These people tend to be over aroused and tense. The symptoms of episodic acute stress are the symptoms of extended over arousal: persistent tension headaches, migraines, hypertension, chest pain, and heart disease. Suffers are usually very resistant to change of any kind. Acute stress can come up in anyones life but it is highly treatable and manageable. A more serious type of stress is chronic stress. Chronic stress is the grinding stress that wears people away day after day, year after year. (Battison, 1997 p. 19) It destroys minds, bodies, and lives. Chronic stress comes when a person doesnt see a way out of a miserable situation. The worst part of chronic stress is that people get used to it and forget that its there. Chronic stress kills by means of suicide, violence, heart attack, stroke, and perhaps, even cancer. The symptoms of chronic stress are hard to treat and could require a lot of medical and behavioral treatment, therapy, and stress management. Traumatic stress is a special kind of chronic stress, known as post-traumatic stress disorder (PTSD). It is caused by trauma that is not handled correctly. Some example of traumatic experiences are: accidents, rape, verbal, physical, psychological, or sexual abuse, being in the presence of extreme violence, a brush with death, natural disasters, death of a loved one, and impriso nment. The symptoms of PTSD are flashbacks, over arousal, emotional numbness or loss of feeling, along with extreme emotional outbursts to minor things. People with PTSD suffer from problems with concentration, controlling impulses, and decision making, The long term consequences of PTSD are depression, anxiety, behavioral disorders, multiple personality disorder, and suicide. .uface267f6287199d39a1df19244a0687 , .uface267f6287199d39a1df19244a0687 .postImageUrl , .uface267f6287199d39a1df19244a0687 .centered-text-area { min-height: 80px; position: relative; } .uface267f6287199d39a1df19244a0687 , .uface267f6287199d39a1df19244a0687:hover , .uface267f6287199d39a1df19244a0687:visited , .uface267f6287199d39a1df19244a0687:active { border:0!important; } .uface267f6287199d39a1df19244a0687 .clearfix:after { content: ""; display: table; clear: both; } .uface267f6287199d39a1df19244a0687 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uface267f6287199d39a1df19244a0687:active , .uface267f6287199d39a1df19244a0687:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uface267f6287199d39a1df19244a0687 .centered-text-area { width: 100%; position: relative ; } .uface267f6287199d39a1df19244a0687 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uface267f6287199d39a1df19244a0687 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uface267f6287199d39a1df19244a0687 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uface267f6287199d39a1df19244a0687:hover .ctaButton { background-color: #34495E!important; } .uface267f6287199d39a1df19244a0687 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uface267f6287199d39a1df19244a0687 .uface267f6287199d39a1df19244a0687-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uface267f6287199d39a1df19244a0687:after { content: ""; display: block; clear: both; } READ: Nathaniel EssayThere are three basic strategies for dealing with stress. The first strategy is altering situations to make them less stressful. Avoiding stressful situations is the next strategy. Accepting stressful situations is the other basic strategy in dealing with stress at the source. Each strategy has its disadvantages and its advantages. Its up to every person to decide which one to use with which situation. The tougher a persons resistance to stress is, the more stress they can take. (Hanson, 1985 p.52) There is a lot a person can do to maximize their resistance to stress. People have resources to help them handle stress. The re resources include family and finan cial resources, social and spiritual resources, as well as personal resources. They can also develop good health habits and get rid of bad health habits to help build up a resistance to stress. Improving a persons nutritional habits makes them much less susceptible to stress. Health and Beauty Essays

American History and Technology essays

American History and Technology essays The advertisement sheet for Muller's "Alpha" Patent Gas-Making Machine provides much insight into the state and orientation of American technology in the 1870s. From the advertisement, we can discern a United States at the dawn of its rise to an industrial power, using technology to hold its own against the more advanced industrialized European countries such as The advertisement shows a rendition of a gas-making machine, a devise that could produce fuel for "lighting all places out of reach of coal gas." The sellers further touted a machine that would provide fuel for household activities such as lighting and heating, though paradoxically, the machine The advertisement most likely was published between the 1870s and the 1880s, a time that saw much research into various gas-making machines. During this time, much of the industrialized nations were dependent on coal gas, a by-product of the distillation of coal. Coal gas was often used for gas lighting and was also alternately referred to as "town gas." The downside, however, was the expense. The price of canned coal made the production of coal gas too expensive for many would-be manufacturers. England and Germany were the leading producers of coal gas oils, which were vital to manufacturing as well as for household uses. In the United States, coal gas was also important for the railway industry, the vital spine that held together a fledgling union that had just emerged from Civil To rise to the level of industrialization already enjoyed by its European counterparts, the United States thus turned to technology. The period from the 1860s to the early 1900s were thus years of extraordinary technological invention in the United States. This era saw the invention of the telephone, telegraph, the cotton gin and other techniques of mass production. Though obviously created b ...

The History of U.S. Banking Crises Cause and Effect

The History of U.S. Banking Crises Cause and Effect According to economists a banking crisis can only be considered a banking crisis if there is a systematic panic (Calomiris, 2008, p.1). This simply means that the panic is widespread and affects national banks and a great number of people. A bank in the rural United States, failing due to problems in agriculture and the farmers unable to pay their loans is a financial problem but cannot be considered a banking crisis.Advertising We will write a custom report sample on The History of U.S. Banking Crises: Cause and Effect specifically for you for only $16.05 $11/page Learn More In order for an event to be considered it has to create an impact as widespread the current financial crisis of the first decade of the 21st century. In this case the systematic panic came as the mismanagement of the U.S. subprime lending sector and it has something to do with the unique structure of the U.S. banking industry. The problem with bank losses and the ensuing panic that it c reates is nothing new. Financial crisis has been documented as far back as ancient times in the financial industry of Greece and even in Rome in 33 A.D. (Calomiris, 2008, p.2). Even in other parts of Europe and in the United States banks losing money and depositors dismayed by the insolvency of banks are common occurrences. These problems may occur regularly but oftentimes these are isolated cases and its effects not given the chance to consolidate to create widespread panic. Experts even agree that for most of modern history, banks were perceived to be stable and that large losses from failed banks are uncommon (Calomiris, 2008, p.2). But the unique structure of the U.S. banking industry is the reason why banks are now being perceived as unstable. In the past a central bank and a few policies were enough to prevent a meltdown but the American experience proves that more stringent measures should be in place. There is also a need to point out that major financial crisis in the Unite d States appears to be a replay of past events. The details may not be the same but there similarities such as the link between the decline of the stock prices and the panic that resulted from news that several businesses are failing. In other words the U.S. banking industry is easily undermined by panic and there seems to be no system in place that prevents the general public from pulling down the banking sector with bank runs and other actions that multiplies the fears of the people and investors. There is indeed a pattern that can be observed starting from the early 1900s to the 1930s and now in the 21st century. There is a replay of familiar historical phenomena (Calomiris, 2008, p.1) This means that the problem is not with the economy and U.S. industries per se but the system that was created to manage the U.S. market, banking sector and overall economy that created the opportunity for speculation, confusion, and panic.Advertising Looking for report on business economi cs? Let's see if we can help you! Get your first paper with 15% OFF Learn More A background history of the formation of the United States will reveal the uniqueness of the U.S. Federal Government. As a result, U.S. laws are different from those that can be found in other countries. A deeper understanding of this issue can be achieved if one will compare the U.S. banking industry and the Canadian banking industry. Before going any further it is important to point out that Canada did not experience any form of systematic panic (Calomiris, 2008, p.3). In fact, the Canadians did not see the need to establish a central bank up until 1935 (Calomiris, 2008, p.3). The key difference is that the United States government did not allow branch banking throughout the country (Calomiris, 2008, p.3). This is not the same case with Canada. By allowing branch banking throughout the nation, the Canadian government ensured that there is geographical diversity and made it close to impos sible for a negative chain-reaction of events that will trigger a system-wide panic. There is a good explanation why the Canadians were able to create this structure and why the Americans failed to mimic an effective system of banking governance. First of all it was relatively cheaper for Canadians to establish branches nationwide. Secondly, the Canadian government was able to establish a system that made it easier for banks to coordinate with each other in times of confusion. It has to be understood that confusion is one of the most potent force that creates fear and bank runs among depositors. Finally, the Canadian banking system encouraged the establishment of smaller-sized banks and the assets of these banks were highly concentrated in several nationwide institutions (Calomiris, 2008, p.3). Thus, the Bank of Montreal can coordinate activities by large banks so that financial crises can be addressed without the knowledge of the general public and therefore preventing panic (Calom iris, 2008, p.3). The situation is far different in the United States. The most significant flaw in the U.S. banking industry is that it does not allow nationwide branching of banks and this resulted in an undiversified industry compartmentalized within each state and created a system that is insulated from competition. This is the reason why it is prone to shocks.Advertising We will write a custom report sample on The History of U.S. Banking Crises: Cause and Effect specifically for you for only $16.05 $11/page Learn More Whenever there is a decline in stock prices and there is news of a increase in the liabilities of failed businesses then confusion and panics will ensue (Calomiris, 2008, p.3). Although this should be expected as a regular feature of business the United States has no effective means to reduce the occurrence of a systematic panic and the negative impact that it creates. All of the above-mentioned factors played a major role in the creation of the financial crisis of the 21st century that did not only come to impact America but the whole world. Aside from the structure of the banking industry there is another major factor that resulted in the current crisis. It is none other than the policies that were enacted to supposedly safeguard the economy but in light of recent events it may had backfired. The most significant policy according to financial experts is the significant government protection of banks, specifically the U.S. federal deposit insurance (Calomiris, 2008, p.4). In theory the idea of having deposit insurance assuages the fears of depositors and should reduce the occurrence of bank runs. However, there are unexpected results. There are those who argue that deposit insurance created another set of problems. Since there is the assurance that deposits are insured to certain degree then depositors will not be as vigilant as they are before when it comes to their savings. There is less incentive to monitor thei r banks and a result the banks will find it easier to take risks. They know that there is a safety net that promises to lessen the impact of their fall and therefore this goads them to take bold steps to increase revenue with little regard to the impact of small mistakes that can eventually grow into something unmanageable such as what happened to the subprime lending sector. The deposit insurance law does not encourage discipline anymore within the U.S. banking industry and therefore imprudent behavior is rewarded and no one will be held accountable. As a result there is a steady increase in the number of incompetent bankers that have tremendous capabilities to play around with funds of other people. One small problem led to another until the banks could not hide anymore the problem with their loans and insolvency. Due to the lax environment created by the deposit insurance scheme the depositors and U.S. citizens were unable to detect the seriousness of the problem until it was alr eady too late.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More It is important to determine the impact of the deposit insurance law and why it contributed much to the failure of many American financial institutions. However, it must also be pointed out that this piece of legislature was considered of utmost necessity after the Great Depression when depositors became wary of banks. Confidence must be restored and this is the main reason why in spite of various oppositions this policy pushed through. It is also important to determine the possible negative consequences of the removal of deposit insurance. This is because experts are only able to identify one major reason why it must be cancelled. They are saying that it encourages the lack of accountability. This implies that the removal of deposit insurance will automatically create the opposite attitude which is to force depositors to take a more active role in monitoring banks. Well, this is just an assumption. There is a need to determine if this will be the case or it will reproduce the dread ed financial crisis of the previous century. Personal Inferences It is important to be familiar with the history of the U.S. banking industry and the history of financial crises that hit the country from 19th century up to the 21st century. In this manner it is possible to determine a pattern and if the pattern of negative thinking and failed actions resulted from a preceding event or policy then it is easier to pinpoint the flawed directive or piece of legislation and correct it to mitigate risks and prevent another major financial breakdown. A historical approach will yield better results if this is achieved using comparative studies with other countries. In the study of financial crises that occurred in U.S. mainland, many insights were gleaned from comparing its financial history with that of England and Canada. It was a revelation to know that Canada was spared from the global financial crisis that ignited from the United States and spread like wildfire to the whole world of fi nance. This has prompted economists to take a closer look at the explanation for Canadian stability as opposed to its neighbor. The most glaring difference is the absence of diversity and the fact that the U.S. banking industry was set-up in such a way that it is insulated from competition and also the fact that there is no coordination between national banks to help them weather a financial storm or to become more proactive in putting out fires before even the general public even knows that a potential threat is looming. This will prevent them from panicking that usually results in the chain-reaction of events that in turn blow-up a small problem into crisis proportions. Decision-makers and policymakers must take heed to the fact that there seems to be a constant replay of events. There is a pattern that is easy to see if they are only willing to take a long hard look at what transpired in the U.S. banking industry from the 19th century up to the present. It was indeed the uniquene ss of the structure of the U.S. banking industry that allowed for these things to happen. If this is the case then policymakers must make increment steps to slowly but surely educate people and educate bankers on how to be more imprudent when it comes to investments as well as how to be more accountable to stakeholders. It is also important to allow the government to make more deliberate steps in managing the banking sector. There is the assumption that if policies like deposit insurance will be removed then the general public will go out of their way to monitor banks. This is a mere assumption; the data used were the behavior of American in the early part of the 19th century. There is no assurance that by rescinding the deposit insurance law that everyone will suddenly become more responsible citizens and more responsible bankers. It must be pointed out that banks will continually find a way to make money and it is also common knowledge that the general public is prone to fear and panic. The federal government must find a way to balance the need for more control and the need to allow the forces of a free enterprise to dictate where the economy is heading. It is not good to have absolute control but history also tells Americans that it is not prudent to cast out all forms of monitoring and government intervention. The best thing to do is to educate people on how the banking industry works. It is also imperative for bankers and businessmen to understand the impact of the policies of yesteryears and if there is a need to overhaul those laws considering the pattern of financial crises and the panics that occurred in two centuries of American financing. Conclusion A historical approach to the study of the U.S. banking industry will reveal the flaws in the system. This is because a pattern is easily recognizable if one is able to see the big picture and trace the impact of policies made between the 1900s and the 21st century. It is crucial to understand that the Un ited States continuous to suffer from a recurring problem of financial instability and systematic panics. It has something to do with policies that were enacted in the past. There is therefore a need to review these policies and to evaluate more stringently the way the Federal government sets up the financial sector of this country. There is also a need to find the balance between close government supervision and the principles of a free enterprise. It has been pointed out that control measure oftentimes backfire because there is no set of rules that can be created that will anticipate all future events and changes in the market and even the world. On the other hand if bankers are allowed to do their own thing then a collapse will be inevitable because they are focused on making profit not necessarily to safeguard the money entrusted to them. References Calomiris, C. (2008) Banking Crises. The National Bureau of Economic Research. Retrieved from https://www.nber.org/

How Stress can be Damaging to an Individual Employee Essay - 2

How Stress can be Damaging to an Individual Employee - Essay Example From this study it is clear that the stressors in the workplace are able to stimulate physiological reactions that will eventually lead a person to become physically and mentally ill. As commonly observed, the common stressors that are found in the workplace that can affect a person physically and mentally include but not limited to the number of workloads given to them, the seclusion, excessive hours given to work, a stressful environments because of pressures, the inability of a person to engage in self-rule, problematic relationships with colleagues and management, presence of intimidation among members in the organisation, pestering, and the lack of either provocation or openings for career-pathing advancement via improvement of skills, abilities, knowledge, position and accountability.   This paper highlights that  theories of occupational stress are linked to the theory pertaining to workplace support and work-life balance, emphasising that the stressful conditions will hav e greater negative impact on the individual’s psychological health and well-being especially if there is absence of support. Therefore, it is of no great surprise as to why many research studies would want to find out the effects when there is absence of balance, the effects are mostly in line with the stress created due to conflict between the demands of work and non-work activities, and the level of satisfaction in work and non-work activities.

ACC Group Case Study Example | Topics and Well Written Essays - 500 words

ACC Group - Case Study Example For Claire's Antiques, this order is very important because without they would not be profitable and would have to layoff many workers.The company now has to consider its alternatives, the main assumption that we have during this consideration is that Claire's Antiques cannot have a budget based on speculations of money that is not there yet.If a rebid is to take place, it could be possible for the competitors to lower their price, thus Claire's Antiques should clearly refuse the rebid. In this the consumer would have more time to think the decision through and compare the two companies.One thing that Claire's Antiques can do is to offer more services, such as after sales service. This would make their offer more interesting even though the price is higher. Claire's Antiques should find out what type of service is important to the customer and include them in their sales process. This would help validate the higher price being charged by them. A discount can be offered if the custome r is willing to pay cash or make the payment upfront, that is as soon as the goods are received or within a week of delivery.Every company has a weak point; Claire's Antiques should find out about the weak point of their competitors and use this to their advantage. There are many things that you need to consider before actually making the bid and once you have done so, you need to sit back and see how the competitors and the customer reacts.

The secret sharer by joseph conrad Essay Example | Topics and Well Written Essays - 250 words

The secret sharer by joseph conrad - Essay Example The captain then meets Leggatt, a run away murderer. He was the chief mate in another ship by the name Sephora where he had killed a fellow crew member accidentally weeks ago (Conrad 38). They talk with the captain who tells him that he will hide him in his state room. The captain of Sephora comes looking for him but they do not find him. Nobody knows that Leggatt hides in the cabin and the captain keeps him as a secret. Leggatt asks the captain to drop him off in an island because he cannot go home and face incarceration. It is this rapport that assumes the central position of the entire account, hence the name â€Å"secret sharer†. Activities that follow include the captain commanding his crew to steer the ship close to the Kho-ring Island’s shores (). This marks the climax of the secret whereby even other members are still in dark the intentions of passing by those shores where they end up protesting but captain’s words were final. They steer to the shores giv ing Leggatt time to escape whereas on the other side where he emanated thought of him having committed suicide (Conrad

Perception of Politics in the United States

Perception of Politics in the United States Are you happy with the United States political environment right now? Pew  Research says that 77% of Americans are not. Aristotle was a great Greek philosopher  and he thought of politics as The center for human debate and theory. Do the citizens  of the United States value politics in the same way Aristotle envisioned? As humans of  the world, politics should be a safe place where tough decisions are made by the  people. Political issues should be discussed in the open, with ethics at the forefront. At  the end of reading this, you will understand why politics should be focused on ethics,  and the issues should be ethical dilemmas that we can all agree need to be fixed.   The modern word political is derived from the Greek word politikos. The Greeks  believed that politics, religion, and culture were intertwined. Greekcitystates, like  Athens and Sparta, architected their infrastructure after this idea. Creating town  epicenters where political debate could take place as theatre, and social events could  be held to discuss ethical issues. Aristotle believed that politics should be used as a  practical science, enriching all citizens lives in a transparent way. Aristotles ideas  about politics formed the foundation of todays Political Scientists. Political Science is a  study of the tasks a politician must undertake. Put yourself in the shoes of a political  scientist; How hard are the problems that politicians are responsible for today? How  would you advise them to solve those problems? These critical questions must be asked by the citizens of the United States in order to empathize with politicians, and ultimately progress as a cou ntry.   To help myself understand what the current perception of politics in America, I  asked members of my family two questions: 1) What is your perception of politics in the  United States? 2) Regardless of that perception, what things would you change about  politics in the United States? My side of the family is very right wing, republican, and pro  trump. My wifes side is very left wing, democrat, and pro Obama. The range of answers  I received was wide, but they mostly had a common theme; America is doing just fine,   but we want fair treatment and inclusion for all citizens.   Lets start with the first question. Right side responses were mostly positive,  stating that the country is trending upwards and things actually getting done by  politicians. Left side responses were positive as well, stating that government has a  good system of checks and balances in place, but that it is being tested. Both sides  have an overall positive view of our country. I did have outlier responses however. One   family member who identifies as a republican stated their current perception of politics is  corruption and intolerance. They would like to see transparency and accountability for  actions taken by government officials. Another family member who identifies as  democrat noted that their current perception of politics has not changed almost their  entire life, no matter the president. They advocated for the importance of local  government and the affect it has on our lives.   The responses to the second question were much farther from each other on the  right and left. Right side responses mainly focused on term limits for all politicians. They  want a constant cycle of politicians so that we dont have career politicians, and so that  we can have a steady turnover and broad representation. Left side responses varied  from each other. One member saying they wouldnt change anything because we have  adequate checks and balances in place to handle problems. Another member  advocating for citizens proactivity in politics, wanting to make it a holiday on election  days, and encourage people to get involved in local government.   These responses to my inquiries are interesting. During their interviews, most  family members stated that they want the division between our country fixed. Its  interesting that the overall theme of their responses was similar. Maybe if we all took an  approach similar to what Aristotle suggests, making politics the center of our cultural  lives, we would be able to understand each other better, and put aside social  differences to focus on ethical issues. Social Issues divide the country; ethical issues  unite us all. Ethics is defined as moral principles that govern a persons behavior or the  conducting of an activity. Political issues usually come in two different types; Ethical, or  Social. Social issues are things like: Should we give more funding to inner city  schools? or Would incentivizing diverse business hires improve our economy?.   Whereas ethical issues are things like: Do we need to act on climate change? or  Should women be allowed to choose when they receive an abortion?. The difference  is simply this: Ethical issues deal with what is right, Social issues deal with improving a  specific part of society. Are you starting to understand why Aristotle says that Ethics  should be the core of politics? Aristotle wanted politics to be used for the happiness of man, he says The  science that studies the supreme good for man, is politics (Living Ethics, 92). The  Supreme Good is often referred to as ethics in todays culture. Aristotle believed that  ethical issues should be the center of politics. I believe if we focus on ethics and  combine cultural aspects into local political discussion, the social issues can be solved  by the people, while ethical issues could be solved by the government. Ethical issues  are usually the most debated problems. Some examples of ethical issues today are:  Poverty, Education, Immigration, Sentencing, Environment, and Climate Change. Both  left and right politics have strong views on how these ethical dilemmas should be  handled, but both sides agree that they are in fact problems that need to be addressed.   What do you want from government? As a citizen of the United States, I want  government to solve ethical problems while taking input from citizen representatives. As  a member of society, I would like to see more social outreach and involvement from  everyone so that we may come together to solve social issues. As humans of the world,  politics should be a safe place where tough decisions are made by the people. Political  issues should be discussed in the open, with ethics at the forefront. Aristotle believed in  this, and so do the citizens of the United States today.

biography of Arthur Ashe jr. :: essays research papers

Arthur Robert Ashe Jr. is a man of trust, courage, grace and honor. Although many of these attriobutes I share with Arthur, his high level of moral values and self reliance I aspire to achieve. Arthur was of African American decent and being born on July 10, 1943 in Richmond, Virginia he had to face many racial struggles and hardships. On the contrary, I was born and raised in somerset, New Jersey, in the 1990’s so my racial struggles were close to non-existent. Being of Italian- American decent, if I had lived in the time of Arthur Ashe I still would not have faced racial struggles as greatly as African Americans did in that time. Arthur was the first born just as I was, except he was the first and only while I on the other hand have three siblings. We were both born into extremely loving and caring families. Arthur was raised by extremely strict parents and was not even allowed to go out after school or hang out with friends as I do occasionally. His father just like my parents set goals for self-reliance, discipline and responsibility. Because of those goals Arthur began to take great pride in his reputation. I also feel as if I’m always being judged. We have both been called â€Å"quiet† people but Arthur eventually grows out of that and my parents tell me I’m beginning to do the same. Both of our parents, to our displeasure, force us to do our numerous chores before anything else. The difference lies within the punishment for disobeying our parents wishes. The so called â€Å"beatings† that Arthur received in his time were nothing unordinary yet if those beatings were to occur t oday they would be seen as wrong and inhumane. Despite the differences we share many similar diversions such as good quality time with our families. Arthur was known to spend countless hours reading and listening to music with his mom. Yet at the age of 6 Arthur had to face one of the most traumatic expierences of his life when he lost his mother, Matti Ashe, to a fatal case of toxemia while in labor. Similar to this experience I lost my grandfather at the age of five. Although I was impacted greatly it was not a loss as great as Arthurs loss of a loving mother. I Can recall the day it happened just as well as Arthur recalled the details of when he last saw his mother.

Family Health Assessment Essay

Conducting a family health assessment utilizing a functional health patterns assessment is the first step in the nursing process to create health care plans for the individual or family. A thorough assessment lays the groundwork to promote family health. (Mandle, 2010, p. 175)The purpose of this paper is to look at one families view of their health and develop two wellness nursing diagnoses. The author developed several questions relating to each of Gordon’s eleven functional health patterns to use in the family interview. The family chosen for this assignment is composed of a grandmother 55 years of age and her grandson age thirteen and granddaughter age fifteen. The family resides in a rural setting in Arizona. The grandmother has had guardianship of her grandchildren for twelve years. Health perception and management focuses on the individuals perceived health and well-being, and on health maintenance practices. (Koshar, n. d. ) The family perceives their overall health to be good. The grandmother reports no chronic health conditions and considers herself to be in good health for her age. The children are healthy and have not experienced any serious illness or injuries thus far. All family members are current on immunizations, receive annual age appropriate health screens and dental exams and cleanings. The grandmother drinks alcohol socially on occasion but not to excess. She has been tobacco free for two years. The grandchildren both state they have not experimented with drugs, alcohol or cigarettes. They state they are aware of the dangers and health hazards of drug, alcohol and tobacco abuse. The grandmother and children take an age appropriate vitamin supplement daily. Over the counter remedies for minor illness such as colds and flu are used when needed. Nutrition and Metabolism focuses on how the family consumes food and fluid in relation to metabolic need. (Koshar, n. d. ) The grandmother tries to encourage healthy eating habits. Whole grains, fresh fruits and vegetables, low fat dairy products and lean meats are served on a regular basis. Milk, water, juices and herbal iced tea are beverages drank in the home. Soda is bought on occasion as a special treat. Most evening meals are eaten in the home. The family usually eats out once a week. The children are both at a healthy weight and are considered to be of average height and weight for their age. The grandmother is slightly overweight. All family members appear well nourished and hydrated. Elimination focuses on excretory patterns to include bowel, bladder and skin. (Koshar, n. d. )The children report no problems with elimination. The grandmother states she occasionally has trouble with constipation and will drink prune juice to help relieve constipation. She states she does not have problems with incontinence or bladder retention. Activity and exercise focuses on the activities of daily living including exercise and leisure activities. (Koshar, n. d. )The family enjoys a wide variety of physical activities. Physical activity is tolerated well. The family rides their horses several times weekly. The grandmother and granddaughter barrel race on a competitive level two to three times monthly. The children are active in 4-H and FFA. The grandson plays football during the school year. The grandmother would like to join a health club to exercise on a more regular basis but does not feel she has the time to do so. Cognition and Perception focuses on one’s ability to comprehend and utilize information and on the sensory functions. (Koshar, n. d. ) Both children do well in school. They do not have any learning disabilities. Hearing and vision are fine. The grandmother uses glasses for reading only and does not have any other sensory deficits. Sleep and rest focuses on an individual’s sleep, rest and relaxation patterns. The children average eight to nine hours sleep nightly. Both children state they feel well rested and are not tired during the day. The grandmother sleeps five to six hours a night during the work week. She states she has trouble occasionally falling asleep at night. The grandmother at times feels fatigued during the day. To relax the grandmother likes to read and spend time outdoors. The children read and watch TV to relax. Self-perception and self-concept focuses on how an individual perceives their identity, body image and self-worth. (Koshar, n. d. ) The children both expressed that they saw themselves as â€Å"normal teenagers†. They stated they are happy living with their grandmother and feel loved and cared for. The granddaughter sees herself as an attractive person and is happy with the way she looks. She sees herself as â€Å"popular† at school and states she has many friends. She believes she could do better in school, if she tried harder but states she is too busy with her horses and friends. The grandson sees himself as average. He states he would like to â€Å"work out more , to build more muscle†. He said he gets along well at school, but sometimes feels shy around people he does not know. He is very proud that he made high honor roll all four quarters this past year at school. The grandmother sees herself as a good caring person. She is happy with her life and feels blessed that she is able to take care of her grandchildren. She is self conscious about being overweight but otherwise considers herself to be an attractive person. Roles and Relationships focuses on the individuals role in the world and how one relates with others. (Koshar, n. d. ) The grandmother as the primary caregiver fulfills the role of parent in the family. The children’s natural parents live out of state. The children visit them in the summer months and holidays are usually spent together at the grandmothers home. Although there has been role reversal between the grandparent and parents the family interacts well together and has a close supportive loving relationship. Sexuality and reproduction focuses on the individuals satisfaction or dissatisfaction with sexuality and reproduction functions(Koshar, n. d. ) The grandmother is post-menopausal. She is not sexually active at the present time. The children are not sexually active. They are aware of safe sex practices to prevent pregnancy and stds. The grandson states he is not really interested in girls yet. He is just beginning to go through the developmental changes of puberty. The granddaughter is well developed for her age and began menstruating at twelve years of age. Coping and stress tolerance focuses on the individuals view of stress and coping strategies. The main stressful issue in the home is trying to balance work, school and social activities in a single parent home. The grandmother in addition to working full time as a RN is now attending school online full time. She feels over whelmed at times trying to find the time and recourses to get the children to their various social activities. She has started to rely more on friends to help with transportation needs. The children have been supportive and have started helping out more with household chores. The family relies on one another, friends and extended family members for support. Values and belief. The grandmother has a strong work ethic and believes in the value of a good education. She believes it is important to be a productive member of society . She encourages her grandchildren to think for themselves and be respectful and kind to others. The family does not attend church on a regular basis, however they do consider themselves Christian. The first wellness nursing diagnosis selected for the family is Readiness for enhanced activity-exercise pattern(Weber, 2005) due to the grandmother and grandson both expressing an interest in increasing their physical activity and desiring to me more physical fit. The second diagnosis selected is Caregiver role strain(Weber) related to the grandmother experiencing stress trying to balance work, school, and raising grandchildren in a single parent role.

Free Anglicanism Economics Essay

Free Anglicanism Economics Essay and even geographical consequences. Secularism is the influencing religion even today. Moreover, it determines and often links with different conflicts nowadays. Missionary movements became popular because of the Enlightenment and the changes caused by it There were few reasons for the missionary movement at the end of the 18th and at the beginning of the 19th century. Spain was the first country, which spread Christianity in the end of the15th century. Then, loosing its positions, France and Britain started to dominate the international affairs, especially in the Europe. For both countries, there were economical reasons. In 1770s, the British tried to convert the Maori (Missionary movements). The London Missionary Society (LMS) organized itself in 1795. The express purpose of LMS was spreading knowledge of Christ to heathen and other unenlightened nations (Ibid). Another missionary society was founded in Paris in 1822. Now its name is Paris Society for Evangelical Missions among non-Christians populations. The aim of foundation was "spreading the Gospel among the heathens and other non-Christian populations (Zorn, n.d.). Christianity showed its domination in everything: culture, economy and even society As it was mentioned before, the main reason of development of the missionary movements were hidden desires of the empire to conquer unknown territories. Of course, there were people who eagerly desired to share with believes in God. However, these people were not very popular among the conquerors. Despite everything, they continued their work in the name of God. According to Holmes, Anglicanism is acting in the experience of God disclosed to us in the person of Jesus Christ (Holmes, 1982). The migration and mission helped to spread the religion and its views worldwide. The colonization spirit caused doubts among inhabitants and those, who arrived with conquers. It is known that everything new is under suspicion and usually cannot be accepted. In the society, not all people can be trusted, communities became more closed when formerly homogeneous societies and neighborhoods have become marked by diversity of religions (Generous love, 2008). At the end of the 18th century, the Anglican village church was still the center of the community, especially in the urban centers. In the congregation of the Anglican Church, people feel themselves vulnerable and beleaguered Nevertheless, the main key to success of the Anglican Church was desire to cooperate. If there was an opportunity to contribute congregation and the minister always found the way to do so. It can be a surprise, but the believe that, is possible to experience the renewal of life in Christ as meet with people of different faiths (Generous love, 2008) shows that Anglican Church was always open for others. This can be the reason why village church was the center of the community. As soon as you have become the part of the village life, you became the part of the congregation. Accordingly, you are accepted with all you deeds. Of course, there were those, who blamed, but in the end congregation gave the feeling of safety and family. Another explanation is that usually congregations were small and it was easier live together, brought up the children, and gather the harvest. Especially, the congregation has lived in the rural area almost on the middle of nowhere. If something had happened, the community acted as the one unit. This helped to save time and provide everything necessary as soon as possible. In this way, church became the center of the social life, where everyone can share happiness and sorrows with others, get advice or just spend time talking to people or in the prayer, asking God for good fortune and health for all family members.

Tweet it short and simple - Emphasis

Tweet it short and simple Tweet it short and simple Never let it be said that we cant admit when we were wrong. We may have dismissed Twitter for its navel gazing. But for people in our industry to ignore the big beneficial effect of tweeting would be like a train driver climbing aboard the Japanese Bullet and belligerently asking why there was nowhere to put the coal. Now, along with several previously sceptical comedians who hone their pithy wit using Twitter, were converted. KISS Thats because when you tweet, you have no choice but to keep it short and simple. With only 140 characters to play with (including spaces and punctuation), every tweet gives you practice in the art of brevity. This is a great antidote to many of the habits we pick up at school where essays are defined by word counts, quantity is quality, and using long words supposedly makes us seem more intelligent. In the business world, short and simple equals concise and clear; brevity is a courtesy to busy readers; and punchy succinctness can leave the biggest impression. Key messages An excellent method of making sure your document will be focused is to work out your key messages before you start writing. We always suggest summing up each main message (no more than three) using a maximum of 30 words for each. You might then imagine you are about to be interviewed on TV for three minutes, and in that time you have to convince the audience that your document is important or relevant enough to read. But to truly move with the times, now you could imagine you have to convince someone of the same in one tweet. Virtuous circle So whether youre perfecting your conciseness, tweeting to improve your writing at work or working hard on your key messages to master Twitter, the only way is up. You can now follow us on Twitter here.

Profit maximization questions x 2 Essay Example | Topics and Well Written Essays - 750 words

Profit maximization questions x 2 - Essay Example Therefore, the answer is, to strike a balance between the two, that is, to not run after the profits to the extent that morality and values come at stake. As corporations it is imperative for us to hold our businesses in a manner that our personal values, which, in the first place should not be against that of the company, are aligned with what the society expects from us. A Business carries a two fold mandate, to earn profits and to seek to justify the means of doing so. Corporate Behavior should be governed by business ethics and values and at the same time describe certain methods to induce profit maximization. Being a part of the top level management as executive I will seek to define moral and ethical guidelines in which to undertake the business, making it a part of my organizational behavior. The very culture needs to be such that it helps promote values and business ethic. It’s certainly undesirable to have cost cutting at the expense of low quality and sub standard pr oducts as in a way it may bring in short term profitability and increase shareholder wealth but in the long term it will lead to degradation of the company’s image. I would try to take measures and communicate throughout the organization to promote moral values and to not give in at the mere expense of profitability. However, this does not mean that the pursuit of profitability is of secondary value. As I stated earlier the key is to strike a balance between the two. I believe seeking profitability on the lines of personal values and beliefs will actually act as a catalyst and exponentially create wealth for the stake holders through better image amongst them. There is absolutely no point in running a business that violates personal values as it shatters the very being and makes him a slave of profitability. Once that violation is made the person has no moral obligation and can go to any extent to achieve the latter objective. Hostile take over’s, industrial espionage or even violating the rights of customers and suppliers may lead to some sort of profitability, but this type of corporate manslaughter is certainly questionable. Having a definitive framework in which to carry out the business would certainly be my initial responsibility and in order to see if its being followed, as most of the time there is a disconnection between the company's code of ethics and the company's actual practices, a corporate Value appraisal system should be in place to keep a check and balance. Ans.2 If we analyze the net profitability after tax the company has had around 11% profitability each year whereas the market moved 13% up in the initial two years and the difference between the last two years is about 8.8%. These numbers suggest that the company is performing in a somewhat similar manner as the market. Now, if the company holds a leading position in the industry and has been having a smooth run of profitability and yet the share price has remained constant, it is certainly a message for the company that something is certainly wrong. The share price explains the sentiments of its investors about that particular company, if they believe that the company will do well, the share price will show a bullish trend but if otherwise, the stock price will go down. Now the company needs to understand and analyze its competitive position in the market. It should seek to evaluate how the consumer perception has changed about the company. Having known that the share value of the competitors has grown, this is a

Risk assessment Essay Example | Topics and Well Written Essays - 1500 words

Risk assessment - Essay Example I had been part of the team presiding over the delivery procedure for a young mother in her late twenties. According to record, the receptionist booked for admission three days earlier to the hospital to have her baby. However, it had latter been identified that she was experiencing false labour pains. The contractions otherwise referred to as Braxton’s Hicks contractions are usually as a result of regular contraction of uterine muscles in readiness for labour (Lisa 2011, p.22). Thus, many people mistake their occurrences to the real labour pains especially towards the closing stages of that pregnancy (Fabre 2008, p. 67). In such a situation, an obstetrics team on duty usually have a superior responsibility of ensuring the wellbeing of both the mother, and that her baby, she is expecting. The medical staff comprising of nurses, obstetric doctor, and physician are all assigned varying duties during delivery procedure, according to their field of specialization. A failure on the part of any of this professional could jeopardise the efforts of every other person in the theatre room, to achieving a successful delivery (Fabre 2008, p. 33). This time she came back with her â€Å"water already broken†; this time to be sure she was ready to have her baby. It had already been determined also, through ultra-sound scan that she was going to have a baby boy. She was anxious and worried, as well. The nurses were going through a hard time calming the woman to ensure a relaxation mood during the birth procedure. This is for regulating her blood pressure (Mary 2008, p.92). An overly excited person can trigger unnecessary muscle contractions and stiffness. At the obstetric department, already the medical test report were out and were showing she had mild backaches and contractions by the time the procedure started, thus the labour pains. This condition is common to confirming onset of giving birth. As much as doctors would wish to maintain a high degree of profess ionalism, we got a report of malpractice case arising in the theatre where a procedure is in progress in helping a patient. The obstetric team comprises not less than five individuals. Unfortunately, the baby ends up developing cerebral palsy. This means that it has developed an extensive brain damage. The reason was as a result of negligence on the part of the physicians. The error occurred during labour as the mother gave birth (Janet 2009, p.65). Normally it is usually a requirement to follow carefully and monitor the baby progress and its status. This is to ensure that the operation patient and the baby in particular do not have any sign of distress. In case of any abnormality, especially in the appropriate air passages, immediate and specific preventative steps are mandatory in an effort to ensure that the baby receive adequate and appropriate supply of oxygen. The mother is usually aware in advance, of the delivery procedure. She gets the information of the entire medical prac titioner attending her and their duties. Doing this enable the doctor to get her consent for the doctor to do his duty (Janet 2009, p.67). However, this failed to happen in the delivery room on that dreaded night. Apparently, the umbilical cord entrapped the baby, making it difficult to receive oxygen. The procedures in the hospital are effective in preventing such cases. The medical staff failed to raise an alarm since the fetal monitoring strips were there to report the distress,

Economic Crisis in Europe Essay Example | Topics and Well Written Essays - 1250 words

Economic Crisis in Europe - Essay Example This report will discuss the root causes of economic crisis in Greek and Spain followed by discussing some economic and financial strategies these countries have implemented to deal with the on-going economic and financial problems within its banking sector. Eventually, several lessons drawn from the public policies which aim to improve the performance of the banking industry in Greece and Spain including the broader economy in general will be tackled in details. Prior to conclusion, potential implications on other European economies and the U.S. will be identified if the on-going European economic crisis is left unmanaged. Root Causes of Economic Crisis in Greek and Spain The economic crisis in Greek started in mid-2000s when the country was adversely affected by the global financial crisis. Specifically the global financial crisis during the mid-2000s has triggered a significant impact on its tourism, banking, insurance, and shipping industry (Talebi, 2012). To keep its economy sus tainable, the Greek government went through a series of loan from the European Union (EU), the European Central Bank (ECB), the International Monetary Fund (IMF), and some major banks in France and Germany (Alderman & Ewing, 2012; The New York Times, 2012). Since the total government deficit of Greece has reached $400 billion, its interest rate increases while the Fitch downgraded its sovereign debt rating to â€Å"BB+ status† or â€Å"junk status† (Hurriyet Daily News, 2012; Kollewe & Neville, 2012; The New York Times, 2011). As a result of excessive government deficit, Europe’s economic recovery is now being threatened (The New York Times, 2012). The case of Spain is similar but totally different from Greece. Even though the Spanish government has incurred a high government deficit, this country managed to cut down its government deficit from 11.2% down to 9.2%, and 8.5% in 2009, 2010, and 2011 respectively (Weardan, 2012; Johnson, 2011). Due to high unemploym ent rate of 23.3% (Eurostat, 2012), Spain is unable to control its private mortgage debt (The Economist, 2012). Eventually, failure to manage the private mortgage debt can lead to economic problem related to housing bubble (Egan, 2012; Smyth, Callanan, & Doyle, 2012). Economic and Financial Strategies Implemented by Greek and Spain In general, government bailout is considered as a significant part of a country’s gross debt but not as a sovereign debt. For this reason, the Greek and Spanish governments are using government bailouts as a strategy to solve their economic and financial problems. Specifically the Greek government started requesting for a series of bailout loans to make its economy run under a normal economic condition. Back then, its first bailout loan worth $146.2 billion (â‚ ¬110 billion) happened on the 1st of May 2010 (BBC News, 2012) followed by its second bailout loan worth â‚ ¬130 billion in October 2011 (The New York Times, 2012). Using these bailout loans, the Greek government was able to reduce its primary government deficits even before it reaches the interest payments. As a result, the Greek government was able to cut down its deficit from â‚ ¬24.7billion in 2009 (Smith, 2012) to â‚ ¬5.2 in 2011 (Financial Info, 2012). There are several economic consequences with regards to Greek government’s decision to increase taxes on private sectors. First of all, its private sector and the overall economic growth of the country that is badly affected with the use of

Plato, The Republic of Plato Essay Example for Free

Plato, The Republic of Plato Essay I thought that Plato’s The Republic was very ambitious in its goals and for the most part, it made a lot of excellent observations about the dynamic of human nature. It is nearly amazing that Plato found things in the ancient times that were not only true in the context of his life, but true for human beings in every period of time. He hit upon the key, core values that each and every person cannot get away from, no matter what their role or place in society.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The first thing that I found interesting was Plato’s breakdown of society. Though many other parts of his work are transcendent across many different generations, this was one part that only applies to his time frame, or so it would seem. It is fitting that he overplays the role of the warrior in society, since that is what was important during his time. Because of this, his entire dynamic is thrown out of whack in context of how it might be viewed today.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   He did nail some important points in regards to the human spirit itself, though. By breaking it down into three categories, he made what should have been a difficult idea into one that was very easy to understand. In particular, I found it interesting how Plato addressed money as a motivator. I think that too many authors get caught up in the idea that money is at the root of a lot of actions. Plato, even back then, had it right that money is simply wanted as a means to an end. Most people who seek money do not do so just to have it. Instead, they want it so that they an satisfy the other primal desires that they cannot seem to shake. Plato is also correct that the rational part of a person must be the controlling factor if a person is going to be just. All too often, a person motivated by things or by emotions makes bad decisions and causes pain for others.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It is interesting to see who Plato praises in his republic and who he puts down. Predictably, he likes to laud the philosophers for their work for the greater good. Plato does not seem to spare any sort of self adulation in this respect. He believes that what he and his fellow philosophers are doing is right. I cannot fault him for this, though. If he did not think it was just, he should stop living his life this way. It was interesting, however, that he chose poets as the one group of people to completely put down in the book. After thinking about it, this is not all that surprising. Poets like to hit on exactly the opposite of what philosophers spend their life championing. They play to the emotional side of people, while the rational side is the most just. In a way, this is a commentary on what Plato finds important in his society. He does not want a bunch of indulgent creatures running around and he does not have any patience for people who go out promoting that type of badness. Instead, he is looking for a republic where people let their rational thoughts guide them to where they need to be. He recognizes emotion as a part of the human dynamic, but does not glorify its position like poets do. That was the most telling part of the entire book.

Inter-professional Working and the Needs of the Patients

Inter-professional Working and the Needs of the Patients QUESTION I Not sharing information is detrimental to inter-professional working Indeed, the needs of patients are best met by the inter-professional team, the evidence indicates that collaboration can promote coordination, cooperation between carers and significantly improve patient outcome and resource management (DoH, 2000, 2001a, 2001b). ‘Inter-professional’ working has thus become popular following pivotal policies drafted to structurally re-shape the National Health System (NHS) and influence how professional groups work together (DoH 2000, 1998, 1997). The literature has thus seen an upsurge in studies investigating patient oriented inter-professional collaborations with evidence for the positive impact of good, innovative inter-professional practice (Freeman et al, 2000), some of which have been seen in the areas of acquisition of clinical skills via inter-professional approach (Freeth, 2001, Freeth and Nicol 1998), management of acutely ill patients (Smith et al, 2002), palliative care (Vickridge, 1998) and in the sphere of care of older peo ple (Tierney and Vallis, 1999). Collaboration between professionals and their teams, mutual respect, the sharing of knowledge, skills, decisions and the recognition of the contribution of participating professional/teams highlight the integrated nature of inter-professional work (Molyneux 2001; Ovretveit (1997). Nevertheless, several factor militates against inter-professional working; these include information unshared, poor communications skills/methods and language differences (Caldwell and Atwal 2003; Pietroni, 1992; DOH, 1991), role overlap and confusion (Caldwell and Atwal 2003), conflicting and unequal power relationships (Caldwell and Atwal 2003; Blane,1991), different ideologies (Caldwell and Atwal 2003), differing perception of patients needs and treatment goals (Stevenson 1985) role confusion (Opuko, 1992) and a persisting tendency to promote professionalism in work settings. Areskog (1988) and Carpenter (1995) suggested that if collaboration ideologies is included in the qualification programmes of professionals and exemplified at that early stage, it will lead to better inter-professional working as issues of differing perceptions of treatment goals and patients’ needs will be tackled along with professional ‘stereotype’ that become impediments of meaningful inter-professional work. In view of this, the work of Freeth and Nicol (1998, attached) is an important study that sheds light on the barrier, opportunities, benefits and perhaps the way forward for inter-professional education and practice. The study was described as innovative programme of shared learning in acute care, involving final year medical students and newly qualified staff nurses and was developed in response to the indistinct professional role of junior doctors and the expanded roles of nurses. The programme utilized patient scenario which was pertinent to the partic ipants area of practice for the training purpose. The authors defined inter-professional education as â€Å"learning with and from each other† and reports from a supportive climate, the description and analysis of an inter-professional clinical skill course for newly registered nurses and senior medical students. While the benefits of inter-professional working was a strong motivation for the training/study, the authors deemed inter-professional learning as difficult and fraught with practical problems; the non-resolution of which may lend further support to critics of the initiative. The Clinical Skills Initiative was a collaborative venture between a School of Nursing Midwifery and a Medical School (Studdy et al 1994). The importance of information sharing was underscored by the fact that the entire programme had communication skills taught, and role played using realistic patient scenarios. This was thought to have made for a balanced diet of clinical and communication skills that is vital for high quality patient care. A background to this was the development of the Inter-professional Skills Centre that ensured that the channels of communication between the two Schools were strengthened and inter-professional relationships was well established. This in the opinion of the authors provided the inter-professional initiatives with an infrastructure, and a supportive climate underpinned by common understandings, thus, enhancing the chances of success (Freeth and Nicol 1998). The course provided an inter-professional arrangement that allowed for an inter-change of information thus enabling members of the nursing and medical professions to learn from each other. Such sharing of information was shown from the analysis of field notes, interviews, flip chart and questionnaires to have promoted mutual appreciation of expertise and the roles of both profession in contributing to overall patient care. In a case scenario where the participants were told that conservative management of a patient’s leg ulcer has failed and surgery was needed, it was interesting to note that both professionals, in small inter-professional groups, explored issues surrounding informed consent, focusing on the information needed to make an informed decision and the way in which this should be communicated to patients and relatives (Freeth and Nicol 1998). Undoubtedly the sharing of information here improved the outcome of the deliberation. The result suggests that the study was a positive experience for the participants; they were able to contribute something to the overall patient problem solving, drawing upon each other’s practical experience, and specialized knowledge. They shared information even during social interactions, as much of any waiting time was employed to enquire about each others ward-based experiences (Freeth and Nicol 1998). The registered nurses saw the inter-professional training as a great chance to learn new clinical skills and commented that the education made obvious what should have been done in their past experiences. Additionally, some participants from the medical profession had technical questions relating to ward procedures and their rationale. These were addressed to the staff nurses and information exchange was again beneficial to both team members, thus confirming the authors’ assumption that nurses ward experience is an asset for inter-professional training. A member of the medical team considered the inter-professional education to have ‘un-smudged’ some of the boundaries in roles and highlighted the need to work together and communicate. Overall, this article is relevant to the understanding of the vital ingredients needed for an inter-professional education that will promote current health policies and maximize patients’ benefits. The article indicates the im portance of ‘information sharing amongst professionals’ for the success of inter-professional collaborations. Caldwell and Atwal (2003) highlighted a number of problems of hospital inter-professional practice, a significant number of which can be attributed to ‘not sharing information’. A case involving a staff nurse, a consultant, an occupational therapist, social services, the patient and a hoist was described. The staff nurse considered the hoist as important for the authorised discharge of the patient and was concerned that one has not been issued; this was expressed at a multidisciplinary team meeting. However, underlying the ill-feelings of the professionals is the fact that information about varying perception of what should be the optimum care strategy for the patient has not been shared or negotiated. According to Caldwell and Atwal (2003), uknown to the occupational therapist the staff nurse had received pressure from the consultant to discharge this patient, and unknown to the staff nurse the occupational therapist is contending with social services who are suggesting that this patient could benefit from further rehabilitation and therefore should not be issued a hoist. It is thus reasonable to suppose at this point that team members’ innate un-willingness or the inability to share information or communicate is detrimental to inter-professional working. Professionals in such teams or settings should necessarily share information to promote an understanding of each others role and care plan thus fostering the approach of a team working toward optimum patient oriented goals in a well orchestrated manner (Cooper et al, 2001). The issue of role boundaries was also highlighted in the Freeth and Nicol (1998) study; sometimes however, it is a case of role overlap and confusion amongst professionals, for example, nurses and junior doctors. This has become apparent especially since Government policies now favour expansion of nurses’ role and reduction in the hours worked by junior doctors (DoH (1994). Clarity of these professional functions is important for practitioners in the ever changing inter-professional interface (Taylor 1996). It may be argued for instance, that why should a physiotherapist wait to have a wheelchair prescribed only after patient assessment by an occupational therapist when the former also have the requisite assessment skills. Clear definition of roles and optimum utilisation of professional resource capacities will make for an enhanced inter-professional practice and patients benefit. Other issues of importance to inter-professional working identified in the article included stereotypes, inter-professional barriers, and a tendency for some professionals to minimize the importance or value of the work of other professionals owing probably to excessive emphasis on professionalism during training. These issues are constraints to effective patient care and need be properly addressed for the optimum functioning of an inter-professional initiative. While works, such as those of Freeth and Nicol (1998) clearly demonstrate the benefits of inter-professional education, background schooling for the majority of professionals still take place in mono-disciplinary settings that fosters professionalism and stereotyped image/ expectations of other professionals (Leiba 1996). This trend cannot achieve the policy aims of effective collaborative working (DoH, 2000; 2001a; 2001b; 1998; 1997). A key solution will be the provision of support for inter-profession education/training as exemplified by Freeth and Nicol (1998); it is an integrated approach with potential for preparing professionals to encourage inter-professional practice. QUESTION II Part A: Points learnt include: The benefits of inter-profession working A positive outlook on multi-disciplinary teams that inter-relate for better patient outcome The need for interest in other professions and an understanding of their roles. The importance of ‘sharing information’ effectively with other healthcare professionals, patients and relatives while maintaining patient’s autonomy and confidentiality Professional need for effective communicate skills The need to be involved in therapeutic decision making and care plan formulation that earns patients’ concordance. An important practical message in the considering of inter-professional education/work is the need for attitudinal changes; the immediate effect of which in clinical practice, includes the readiness to share relevant information with clinicians to promote effective delivery of care, the perception of other professional as equally making valuable indispensable contributions to patient care as well as a positive outlook on inter-professional working. These attitudinal changes are necessary for the efficient local practice of inter-professional working. McGrath (1991) showed that the benefits of inter-professional working includes but is not limited to (1) efficiency in human resource allocation and the optimum utilization of capacity within the team, i.e. specialist staff focus on specialist skills/cases (2) efficient delivery of health care with improved patient outcome and (3) increase in job satisfaction for members of the inter-professional team arising from the support of willing team members and an enabling work environment. Inter-professional working could thus have improved the clinical outcomes in a number of the hospital cases that in my experience has led to grave loss or patient suffering. The recent experience was in the care of hospital in-patients with a clinical diagnosis of osteoporosis without any history of fracture and on a frailer group of patients with advance bone changes usually having sustained fracture/s (CSP 2002) and for which NICE (2005) has provided a guideline for the secondary prevention of fragility fractures. The patients were managed at any of the 11 wards representing medicine, surgery, orthopaedic and elderly care wards of a tertiary care facility in London during an 8-week placement period. Gross observation revealed treatment gaps in meeting guideline recommendations for the management of these patients in the areas of risk of fall assessment and referral to multi-factorial fall risk assessment and intervention clinic. There did not seem to be a unified format or standard for the assessment of fall risk within the 11 wards and risk of fall was not assessed in more than 50% of the cases in which this was a guideline requirement, perhaps, due to confusion in role identity and the location of this responsibility amongst the professional concerned. The clinical records of these patients showed that both nurses and physiotherapist assessed fall risk criteria and reported this in different formats. Proper integration of the services and communications between these professionals as prescribed within the frame work of inter-professional working will avoid needless duplication of effort, the waste of resources and clinicians time. Saved time could then be expended by either of the professionals in improving quality of care and quality time spent with patient; this is in addition to improved consistency in patients’ records and the ease of continued care should there be a need for patients to moved between wards of the unit. Part B: While Government policy has reflected a cultural shift by way of imposition of radical changes to the way in which health services are organized and delivered, there are distressing problems that make inter-professional working an arduous task. The issue of power and its distribution within the health institution is here of prime importance. There exist unequal power distributions between health care professionals, often leading to organizational and working structures that are impediments to inter-professional working. (Carrier and Kendall, 1995; Kgppeli’ 1995; Blane, 1991). Power is often in the domain of the older, more established medical profession; and there has been a pattern of domination over other professionalized disciplines, such as nursing, social work and other allied health professions (Kgppeli’ 1995; Hugman, 1991). The study of Manias and Street (2001) revealed that nurses faced many difficulties that practically precluded them from participating in therapeutic decision making for patients to whom they maintain permanent physical, emotional and sensitory closeness (Kgppeli’ 1995). Manias and Street (2001) found that nurses on medical ward rounds answered ‘doctors’ questions only, were not encouraged to give unsolicited information about the patient and hence found it very difficult to present relevant patient issues during a medical ward round. An enormous amount of literature has been written on the nurse-doctor relation; a significant portion of these appear to imply that the powers and influences of medical profession are hindrances to development of nursing. From a historical standpoint, it is logical to think of health professions as complementary to each other, however, the fact that they are organised ‘around’ a patient, that they ought to cooperate for his benefit seems secondary if not trivial (Kgppeli’ 1995). There is a lingering tendency to maintain professionalism and to expect ‘predetermined behavior’ of other health care professionals. The domination of one professional over the others within a health team is a major factor that can strengthen the boundaries between the professional groups engaged in inter-professional working and constrain effective teamwork (Beattie, 1995). Power in-balance within the inter-professional team will also encourage the making of many ‘rules’ and regulations that are capable of controlling major aspects of professional practice (Kgppeli’ 1995), thus making un-necessary any substantial discussion intended to individualise care and improve clinical and social patient outcome. The care and management of a hospitalised patient cannot be achieved by one person, neither is one professional group capable of the task. It is always a complex multidisciplinary phenomenon (Kgppeli’ 1995) in which the integrated knowledge and skill of people with different professional backgrounds makes for better clinical and social patient outcome. Hence, leadership within inter-professional team should not be ‘zoned’ to one profession as such will be detrimental to the optimal functioning of the initiative. The leadership need be more inspirational and stimulating, enabling other team members to respond positively to opportunities presented by developing improved knowledge and skills in managing professional practice and inter-professional relationships. According to Colyer (1999), non medical professional members of the team who are willing to assume the demanding responsibilities of full membership of the inter-professional teams should also be made to feel a sense of belonging and responsibility to the integrated patient oriented goal of the team. References: Areskog N-H (1988) The need for multiprofessional health education in undergraduate studies. Medical Education 22:251-252 Beattie A (1995) War and peace among the health tribes. In: Soothill K, Mackay L, Webb C, eds. Interprofessional Relations in Health Care. Edward Arnold, London: 11–26 Blane D (1991) Health Professionals. In: Scambler G ed. Sociology as Applied to Medicine. 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